| Toward a more complete understanding of the effects of personal mastery on cardiometabolic health. | |
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MedLine Citation:
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PMID: 21534674 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: A great deal of research has been devoted to identifying the psychological factors that might be associated with reduced risk for cardiovascular diseases. In particular, coping resources such as personal mastery might attenuate stress-related pathophysiology. The purpose of the present review was to examine the existing literature reporting associations between personal mastery and cardiometabolic health outcomes to determine which outcomes have been studied to date, investigate the extent of inconsistency in the literature, and propose new directions for research. DESIGN: Systematic review of articles examining the associations between personal mastery and cardiometabolic health. MAIN OUTCOME MEASURES: Studies were included if they examined objective measures of cardiometabolic function, cardiovascular events, and/or mortality. RESULTS: Thirty-two studies were identified examining the effect of mastery on the following outcomes: mortality and/or cardiovascular events, psychoneuroendocrine stress systems, cardiovascular reactivity to acute stress, metabolic dysregulation, inflammation/coagulation, and evidence of large vessel disease from imaging methods. CONCLUSIONS: Overall, mastery was associated with better cardiometabolic health and reduced risk for disease and/or death, typically with a small-medium effect size. A relatively small proportion of studies reported contradictory findings that higher mastery was associated with poorer cardiometabolic outcomes. The state of the current research suggests that future investigations should focus on 1) clarifying the mediators and moderators most relevant in the association between mastery and downstream disease, 2) testing the association between mastery and biological outcomes longitudinally, 3) examining the physiological impact of mastery-increasing interventions, and 4) studying the relationship between mastery and disease risk in diverse ethnic or sociocultural groups. |
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Authors:
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Susan K Roepke; Igor Grant |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Review |
Journal Detail:
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Title: Health psychology : official journal of the Division of Health Psychology, American Psychological Association Volume: 30 ISSN: 1930-7810 ISO Abbreviation: Health Psychol Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-08-30 Completed Date: 2011-10-25 Revised Date: 2012-09-28 |
Medline Journal Info:
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Nlm Unique ID: 8211523 Medline TA: Health Psychol Country: United States |
Other Details:
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Languages: eng Pagination: 615-32 Citation Subset: IM |
Affiliation:
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Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California, San Diego, La Jolla, CA 92093-0680, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adaptation, Psychological* Cardiovascular Diseases / psychology* Humans Internal-External Control Metabolic Diseases / psychology* Outcome Assessment (Health Care) Risk Factors Stress, Psychological / psychology* Treatment Outcome |
| Grant Support | |
ID/Acronym/Agency:
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AG15301/AG/NIA NIH HHS; R01 AG015301-11/AG/NIA NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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